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Stable Ischemic Heart Disease

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Diagnosis Figure 4. Guideline-Directed Medical Therapy for Patients with SIHD 8 Consider adding bile- sequestrant or niacin ASA 75-162 mg daily Lifestyle modification including diet, weight loss, physical activity Clopidogrel 75 mg daily or ASA desensitization Serious adverse effect or contraindiction See AHA/ACCF Cardiovascular Risk Reduction Guideline Smoking cessation program YES Moderate- to high-dose statin Contraindicated or adverse effect See NHLBI ATP III Prevention Guideline YES See JNC VII Guidelines Drug therapy to achieve BP <140/90 mm Hg Consider ACEI/ARB if LV dysfunction, diabetes, CKD YES Appropriate glycemic control YES Note: Colors correspond to the class of recommendations in the ACCF/AHA Cigarette Smoking ? Hypertension? BP ≥140/90 mm Hg aer diet, physical activity program? Diabetes?

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